Provider Demographics
NPI:1477641629
Name:STECK SILVESTRI, ERIN LINDSEY
Entity type:Individual
Prefix:DR
First Name:ERIN
Middle Name:LINDSEY
Last Name:STECK SILVESTRI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4476 MAIN ST
Mailing Address - Street 2:SUITE 205
Mailing Address - City:SNYDER
Mailing Address - State:NY
Mailing Address - Zip Code:14226
Mailing Address - Country:US
Mailing Address - Phone:716-768-0928
Mailing Address - Fax:716-768-2168
Practice Address - Street 1:4476 MAIN ST
Practice Address - Street 2:SUITE 205
Practice Address - City:SNYDER
Practice Address - State:NY
Practice Address - Zip Code:14226
Practice Address - Country:US
Practice Address - Phone:716-768-0928
Practice Address - Fax:716-768-2168
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2016-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8643103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAW10533OtherBLUE CROSS BLUE SHIELD